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LISA SHEA ROBERTS F.N.P.
NPI 1043652803
Nurse Practitioner - Family in Logan, UT

Active since July 22, 2013PECOS Enrolled
55 E 100 N, SUITE 303, LOGAN, UT 84321(435) 760-7078 Get Directions Write a Review

NPPES record last updated: June 24, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lisa Shea Roberts F.n.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA SHEA ROBERTS F.N.P. (NPI 1043652803) is an individual family provider in Logan, Utah, licensed in Utah (8689112-4405) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043652803
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA SHEA ROBERTSCredential: F.N.P.
Location Address55 E 100 N, SUITE 303Logan, UT 84321-4661
Mailing Address12965 W 61st CirArvada, CO 80004-3981 · (435) 760-7078
Phone(435) 760-7078
Sole ProprietorNo
Enumeration DateJuly 22, 2013
Last NPPES UpdateJune 24, 2019
✔ NPI 1043652803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in UT · 8689112-4405
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License 8689112-4405 (UT)
55 E 100 N, Logan, UT 84321
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Shea Roberts F.n.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Roberts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Springcreek Medical Center PC
2.6 mi
Chiropractor
267 N SPRING CREEK PKWY
Providence, UT 84332
  • Reassigned Medicare billing, Utah enrollment
  • 6 clinicians in this Medicare group
NPI 1093075756 (435) 972-9400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84321 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE RUGGERI N.D.
Naturopath
55 E 100 N, SUITE 301
LOGAN, UT 84321
Cache County (435) 755-9413
VICTOR HERMAN NELSON LMFT
Marriage & Family Therapist
55 E 100 N, SUITE 204
LOGAN, UT 84321
Cache County (435) 994-0024
DAVID R BAKER
Clinical Medical Laboratory
55 E 100 N, SUITE 305
LOGAN, UT 84321
Cache County (435) 512-8151
SAGE FUNCTIONAL MEDICINE CENTER
Clinic/Center (Primary Care)
55 E 100 N, SUITE 303
LOGAN, UT 84321
Cache County (435) 760-7078

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Roberts's NPI number?

The NPI number for Lisa Roberts is 1043652803. It was assigned to this individual provider in the NPPES registry on July 22, 2013.

Where is Lisa Roberts located?

Lisa Roberts practices at 55 E 100 N Suite 303, Logan, UT 84321. The listed phone number is (435) 760-7078.

What is Lisa Roberts's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Roberts enrolled in Medicare?

Yes. Lisa Roberts is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Roberts reassigns Medicare benefits to Springcreek Medical Center PC (Providence, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Roberts was last updated on June 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.